Individual
RETA GOGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13420 AMBERGLEN DR, WASHINGTON, MI 48094-3149
(586) 707-1014
(586) 707-1014
Mailing address
13420 AMBERGLEN DR, WASHINGTON, MI 48094-3149
(586) 707-1014
(586) 707-1014
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
393356135
HOME CARE AGENCY
—
Enumeration date
07/29/2025
Last updated
07/29/2025
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